Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07670 | Date 14/08/2024 |
| Token No | SM/25-26/856 19/04/2025 | Serial | 024 |
| Patient Name | Mr. JYOTISH BISWAS | Contact No | 9163599053 |
| Address | TALPUKUR DAKSHIN RAJYADHARPUR LOKNATH PALLY SERAMPORE 712203 | Age | 56 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||